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Related Experiment Video

Updated: Nov 22, 2025

Method of Direct Segmental Intra-hepatic Delivery Using a Rat Liver Hilar Clamp Model
09:22

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Liver procurement: the counterclockwise technique step-by-step with video.

Pietro Addeo1, Olivier Julliard2, Philippe Bachellier2

  • 1Hepato-Pancreato-Biliary Surgery and Liver transplantation, Pôle des Pathologies Digestives, Hépatiques et de la Transplantation, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 1, Avenue Moliere, 67098, Strasbourg, France. pietrofrancesco.addeo@chru-strasbourg.fr.

Langenbeck'S Archives of Surgery
|January 6, 2021
PubMed
Summary

This video demonstrates a counterclockwise liver procurement technique, ideal for cases without pancreas removal. It is a reproducible and safe method for surgical training and standardization.

Keywords:
Liver graftLiver procurementLiver transplantationMultiorgan procurement

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Area of Science:

  • Surgical Techniques
  • Organ Procurement
  • Medical Education

Background:

  • Surgical videos aid in standardizing procedures globally.
  • This article presents a specific counterclockwise technique for liver procurement when the pancreas is not removed.

Purpose of the Study:

  • To provide a step-by-step didactic guide for the counterclockwise liver procurement technique.
  • To highlight the technique's utility in surgical training and standardization.

Main Methods:

  • The counterclockwise technique involves six key steps: hepatic pedicle, pancreatic neck, superior mesenteric artery (SMA), celiac trunk, supraceliac aorta, and inferior vena cava.
  • The procedure follows a sequential, counterclockwise dissection around the liver.

Main Results:

  • The technique has demonstrated high reproducibility and safety in routine practice among trainees.
  • Consistent positive outcomes were observed across multiple surgeons over time.

Conclusions:

  • The counterclockwise technique is a valid, easily learnable method for liver procurement.
  • It offers a standardized approach, particularly beneficial in educational settings for liver transplantation.